Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.00 / $3,596.00 / $10,893.00	Facility		$788.00	$3,596.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $677.02 / $753.31 / $1,051.54	Professional		$677.02	$753.31	$1,051.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $716.22 / $1,218.73 / $5,572.00	Facility		$716.22	$1,218.73	$5,572.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $554.38 / $778.70 / $1,411.80	Professional		$554.38	$778.70	$1,411.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $635.29 / $635.29 / $635.29	Facility		$635.29	$635.29	$635.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $731.69 / $959.80 / $1,487.37	Professional		$731.69	$959.80	$1,487.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $5,709.90	Facility		$55.00	$55.00	$5,709.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,197.00 / $6,197.00 / $6,197.00	Professional		$6,197.00	$6,197.00	$6,197.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $704.65 / $937.72 / $1,782.50	Facility		$704.65	$937.72	$1,782.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $903.24 / $1,063.04 / $1,250.64	Professional		$903.24	$1,063.04	$1,250.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,018.50 / $1,018.50 / $1,018.50	Professional		$1,018.50	$1,018.50	$1,018.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $704.65 / $939.86 / $1,808.87	Facility		$704.65	$939.86	$1,808.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $731.69 / $970.93 / $1,618.79	Professional		$731.69	$970.93	$1,618.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $594.46 / $817.39 / $1,263.24	Professional		$594.46	$817.39	$1,263.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $592.99 / $678.41 / $938.12	Professional		$592.99	$678.41	$938.12